Dental Board of California
Licensing details for: 1436
Name: MISSION HILLS ENDODONTICS GROUP
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
PROF DENTAL CORP FARHAD DAFTARY DMD
11550 INDIAN HILLS RD #251
MISSION HILLS CA 91345
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: DAFTARY, FARHAD
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: FESHARAKI, AMIR MANSOOR
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: FESHARAKI, AMIR MANSOOR
License/Registration Type: Dentist License
License Number: 37996 Primary Status: Current - Active
Address :
12660 RIVERSIDE DR
suite 240
VALLEY VILLAGE CA 91607
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: DAFTARY, FARHAD
License/Registration Type: Dentist License
License Number: 32053 Primary Status: Current - Active
Address :
2001 N SOLAR DRIVE
SUITE 225
OXNARD CA 93030
VENTURA COUNTY
